NPIMap

Individual provider Active NPI

Blane A Mire, M.D.

  • Internal Medicine Physician
  • Natchez, MS
National Provider Identifier
1326082397
Registry record updated Jul 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
15913 Issued in MS
Practice address
46 Sergeant Prentiss Dr
Suite 300
Natchez, MS 39120-4725
Phone
(601) 446-7343
Fax
(601) 445-0833
NPI assigned
Jun 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 15913 MS Primary

Addresses

Primary practice location

46 Sergeant Prentiss Dr
Suite 300
Natchez, MS 39120-4725

Mailing address

209 Glenwood Dr
Natchez, MS 39120-4707
Phone (601) 446-8599

Other identifiers 1

IdentifierTypeStateIssuer
00119463MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040617001401 MS Practitioner - Internal Medicine 9133103930 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Louisiana State University School of Medicine in Shreveport, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Internal Medicine Associates of Natchez, PLLCGroup PAC ID 0042294829, 2 clinicians
Natchez After Hours Clinic, P.L.L.C.Group PAC ID 0648274555, 5 clinicians

Practice addresses (Care Compare)

46 Sergeant Prentiss Dr
Suite 300
Natchez, MS 39120-4752
Phone (601) 446-7343

46 SGT Prentiss Dr
Suite 101
Natchez, MS 39120-4754
Phone (601) 442-1900

Hospital & facility affiliations

  • Deaconess Homecare-Region I I Home health agency, Brookhaven, MS, CCN 257135
  • Louisiana Homecare of Miss-Lou Home health agency, Ferriday, LA, CCN 197063
  • Sta Home Health Agency of Jackson, Inc. Dba Accentcare Home Health of Jackson Home health agency, Clinton, MS, CCN 257102
  • Merit Health Natchez Hospital, Natchez, MS, CCN 250084
  • Riverland Medical Center Hospital, Ferriday, LA, CCN 191318

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy44
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Removal of skin lesions1-10
Removal of nail tissue1-10
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
15913MSMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Internal Medicine Associates of Natchez, PLLC Internal Medicine CurrentSince Jan 1, 2004 Accepting new patients
Natchez Community Hospital LLC Past Accepting new patients
Natchez Anesthesia Past Accepting new patients

Locations

54 Sgt Prentiss Dr
Natchez, MS 39120
Phone (601) 443-2100

46 Sgt Prentiss Dr
Ste 300
Natchez, MS 39120
Phone (601) 446-7343

Interoperability endpoints

  • Direct secure messaging: blane.mire.1@8025.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/8038/brand/1/csg/1/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/8025/brand/1/csg/1/fhir/r4

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278028800000",
    "number": "1326082397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 GLENWOOD DR",
            "city": "NATCHEZ",
            "state": "MS",
            "postal_code": "391204707",
            "telephone_number": "601-446-8599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46 SERGEANT PRENTISS DR",
            "address_2": "SUITE 300",
            "city": "NATCHEZ",
            "state": "MS",
            "postal_code": "391204725",
            "telephone_number": "601-446-7343",
            "fax_number": "601-445-0833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRE",
        "first_name": "BLANE",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-16",
        "last_updated": "2010-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MS",
            "license": "15913",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00119463",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Natchez, MS

Sources for this page

Verify at the official NPI Registry.